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Get CA FTB 4107 PC C2 2013

Ay Election to Discontinue or Waiver Request, immediately after receiving FTB 4106 PC or FTB 4106 MEO, Mandatory e-Pay Program Participation Notice. If both spouses/RDPs qualify as permanently physically or mentally impaired, then each spouse/RDP must complete a separate form FTB 4107 PC, Mandatory e-Pay Election to Discontinue or Waiver Request. Physician Affidavit Required On PAGE 3, you must provide a written statement from a qualified physician that includes: 1. The name and a description.

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